MICHAEL EUGENE KUPKOWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058820

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

EUGENE

Last Name

KUPKOWSKI

Suffix

Business Name

MICHAEL EUGENE KUPKOWSKI MD

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013